Comparison of Microbiota and Quality of Life for a Low FODMAPs and Standard Dietary in Irritable Bowel Syndrome Patients
Study Details
Study Description
Brief Summary
IBS is a global disease, patients often because of long-term symptoms of recurrent, not timely diagnosis and treatment effect is not ideal and frequent treatment, seriously affect the quality of life, and cause the corresponding economic and social burden.At present,a number of studies suggest that fermentable oligosaccharides, disaccharides and monosaccharides and polyols (FODMAPs) can induce IBS symptoms.Data from large randomized controlled trials are limited, leaving clinicians with the challenge of providing patients with reliable guidance based on minimal evidence.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
IBS is a global disease, patients often because of long-term symptoms of recurrent, not timely diagnosis and treatment effect is not ideal and frequent treatment, seriously affect the quality of life, and cause the corresponding economic and social burden.At present,a number of studies suggest that fermentable oligosaccharides, disaccharides and monosaccharides and polyols (FODMAPs) can induce IBS symptoms.Data from large randomized controlled trials are limited, leaving clinicians with the challenge of providing patients with reliable guidance based on minimal evidence.
This study will compare the effect of low FODMAPs diet and usual diet instruction on Intestinal flora, intestinal short chain fatty acids and quality of life by two groups.The results will answer the effect and long-term safety of Low FODMAPs diet.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Low FODMAPs Diet Instructed to low FODMAPs diet when patients signed the informed consent. Answer doubts and correct unhealthy dietary behaviors,such as excessive diet, eating raw, spirits and other excitant food. |
Behavioral: Low FODMAPs Diet
Instruct to design and eat Low Fermentable,Oligo-,Di-,Mono-saccharides And Polyols(FODMAPs) Diet
Behavioral: Diet instruction
Answer the doubt and help the patient get the diet knowlege about the IBS.
|
Placebo Comparator: Diet Instruction 1.Answer doubts and correct unhealthy dietary behaviors,such as excessive diet, eating raw, spirits and other excitant food. |
Behavioral: Diet instruction
Answer the doubt and help the patient get the diet knowlege about the IBS.
|
Outcome Measures
Primary Outcome Measures
- Microbiota / Short chain fatty acids [Change from baseline Microbiota / Short chain fatty acids at 4 weeks]
The fecal samples of IBS patients were analyzed.
Secondary Outcome Measures
- Irritable bowel syndrome severity scoring system scale [Baseline,1,and 3 month post randomization]
Irritable bowel syndrome severity scoring system scale is an integral system for monitoring the severity of IBS in patients with disease severity.The scale is mainly from the degree of abdominal pain, abdominal pain frequency, abdominal distension, defecation satisfaction and the impact of life, according to the 10cm visual scoring method
- The Short Form 36 (SF-36) scale [Baseline,1,and 3 month post randomization]
SF-36 is a general scale, at present, the most commonly used evaluation of IBS. It includes 36 items, a total of 8 dimensions
- Irritable bowel syndrome quality of life (IBS-QOL) scale [Baseline,1,and 3 month post randomization]
Irritable bowel syndrome quality of life (IBS-QOL) scale is a more extensive application of the specific scale of IBS.
- Satisfaction questionnaire [1,and 3 month post randomization]
To understand the patient's satisfaction with symptom control and diet guidance. The questionnaire included 3 items
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnostic criteria for Rome Ⅲ
-
IBS patients with diarrhea type
-
By endoscopy, X-ray, B ultrasound and laboratory examination to exclude organic disease
-
Patients be able to communicate well with the researchers and be willing to participate in the study
Exclusion Criteria:
-
Stomach, small intestine, colon surgery history
-
irritable bowel disease (IBD) active period, celiac disease
-
Alcoholics or drug abuse
-
Pregnant or lactating women
-
Recent drug users who use defecation
-
Have a special diet
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | YangzhouUniversity | Yangzhou | Jiangsu | China | 225001 |
Sponsors and Collaborators
- Jinsong Wang
Investigators
- Study Chair: Hongcan Shi, Ph.D.,M.D., Medical College
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 20160805